Kristin Dawn Shreve, MS, LCPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC8616 Issued in MD

Practice address

12300 Old Willow Brook Rd SE
Cumberland, MD 21502-8342

Phone

(301) 777-2497

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1194505289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 OLD WILLOW BRK RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028342",
            "telephone_number": "301-777-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 OLD WILLOW BROOK RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028342",
            "telephone_number": "301-777-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "KRISTIN",
        "middle_name": "DAWN",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC8616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiv C Khanna MD PA
• Cindy Shockey-Smith, LCADC
• Lawrence P. Shombert, MD
• Julia Mae Show, CRNP
• Suresh M Shrestha, M.D.
• Cynthia Jean Shriver, CRNP
• Mark Shrout
• Cassie Jo Shugars
• Harjit Singh Sidhu, MD
• Sukhjit S Sidhu, M.D.

• Addiction (Substance Use Disorder) Counselor in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.